Eric Main, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010552 Issued in MI

Practice address

4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418

Phone

(616) 214-3111

NPI assigned

Feb 20, 2018

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Rivertown Family Chiropractic LLCGroup PAC ID 2163652652, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rivertown Family Chiropractic LLC

  • Chiropractor
  • Wyoming, MI
  • NPI 1447671276
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1760982334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 DEL MAR DR SW",
            "address_2": "STE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-214-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 DEL MAR DR SW",
            "address_2": "STE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-214-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "ERIC",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kam Magers, MAT/QIDP
• Emily Magnussen, NP
• Prowshchal Mahato
• Jennifer Dian Maier, LLMSW
• Richard A Maier, LPC, CAADC
• Mariel Alberta Maitland, MSN, APRN, ACNPC-AG
• Jackie Lea Maiville, LPN
• Larry Majznerski, DDS
• Rebecca L. Maki, M.D.
• Max Brandon Malave, LPC

• Chiropractor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.